| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.46 | $25.46 | $55.39 | |
Aetna
| Professional | $25.46 | $25.46 | $37.22 | |
BCBS
| Facility | $27.62 | $27.76 | $28.11 | |
BCBS
| Professional | $23.48 | $27.72 | $27.97 | |
Cigna
| Professional | $33.11 | $33.11 | $41.39 | |
Medica
| Facility | $30.08 | $33.71 | $52.31 | |
Medica
| Professional | $30.77 | $34.46 | $36.40 | |
United
| Professional | $25.46 | $28.52 | $28.52 |